Perez, Jennifer Mary

Perez, Jennifer Mary is an individual health care provider with primary practice located at 12250 W North Ave , Wauwatosa WI 53226-2066. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Perez, Jennifer Mary can be contacted via phone (414) 217-7444.

Contact Information

Primary practice address

12250 W North Ave Wauwatosa WI 53226-2066

Phone: (414) 217-7444

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Registered Nurse	163W00000X		Wisconsin

Profile Details

NPI number	1154309425
LBN Legal business name	Perez, Jennifer Mary
Credentials	Registered Nurse (RN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 5th, 2006
Last updated	Jul 8th, 2007 - about 19 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1154309425	NPPES
Wisconsin	MEDICAID	39995800

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